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Individual

DEVON EILEEN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203
(803) 434-6771
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
71939
GA
207R00000X
Internal Medicine Physician
Primary
82465
SC
208M00000X
Hospitalist Physician
82465
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GA1652
SC
Enumeration date
05/06/2009
Last updated
10/09/2019
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